| Jersey Garden Dental Pa | |
|
651 Kapkowski Rd Elizabeth NJ 07201-4901 | |
| (908) 351-6996 | |
| (908) 351-2996 |
| Full Name | Jersey Garden Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 651 Kapkowski Rd, Elizabeth, New Jersey |
| Authorized Official Name and Position | Prolay Polay (OWNER) |
| Authorized Official Contact | 9083516996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Garden Dental Pa 651 Kapkowski Rd Elizabeth NJ 07201-4901 Ph: (908) 351-6996 | Jersey Garden Dental Pa 651 Kapkowski Rd Elizabeth NJ 07201-4901 Ph: (908) 351-6996 |
| NPI Number | 1790907913 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790907913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02139701 (New Jersey) | Primary |
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